• Title/Summary/Keyword: crown ratio

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The prognosis of splinted restoration of the most-distal implants in the posterior region

  • Lee, Jong-Bin;Kim, Man-Yong;Kim, Chang-Sung;Kim, Young-Taek
    • The Journal of Advanced Prosthodontics
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    • v.8 no.6
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    • pp.494-503
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    • 2016
  • PURPOSE. The aim of this study was to compare the efficacies of two-implant splinting (2-IS) and single-implant restoration (1-IR) in the first and second molar regions over a mean functional loading period (FLP) of 40 months, and to propose the appropriate clinical considerations for the splinting technique. MATERIALS AND METHODS. The following clinical factors were examined in the 1-IR and 2-IS groups based on the total hospital records of the patients: sex, mean age, implant location, FLP, bone grafting, clinical crown-implant ratio, crown height space, and horizontal distance. The mechanical complications [i.e., screw loosening (SL), screw fracture, crown fracture, and repeated SL] and biological complications [i.e., peri-implant mucositis (PM) and peri-implantitis (PI)] were also evaluated for each patient. In analysis of two groups, the chi-square test and Student's t-test were used to identify the relationship between clinical factors and complication rates. The optimal cutoff value for the FLP based on complications was evaluated using receiver operating characteristics analysis. RESULTS. In total, 234 patients with 408 implants that had been placed during 2005 - 2014 were investigated. The incident rates of SL (P<.001), PM (P=.002), and PI (P=.046) differed significantly between the 1-IR and 2-IS groups. The FLP was the only meaningful clinical factor for mechanical and biological complication rates in 2-IS. CONCLUSION. The mechanical complication rates were lower for 2-IS than for 1-IR, while the biological complication rates were higher for 2-IS. FLP of 39.80 and 46.57 months were the reference follow-up periods for preventing biological and mechanical complications, respectively.

CLINICAL AND STATISTICAL STUDIES ON FIXED BRIDGE (가공의치의 임상 통계적 연구)

  • Kim, Seung-Jae
    • The Journal of Korean Academy of Prosthodontics
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    • v.18 no.1
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    • pp.99-109
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    • 1980
  • An investigation was made Into 1,357 fixed bridges which had been performed at the Department of Prosthetic Dentistry, Seoul National University Hospital from 1973 to 1979. The purpose of this investigation was to establish a basic reference of the treatment with fixed bridges by obtaining statistical conclusions from the data concerning the patients who had been treated with fixed bridges. The following conclusions were obtained; 1. The ratio of the fixed bridges made on the maxillae to those made on the mandible was 1:1. 2. The cases of fixed bridges with one pontic were the most frequent, i.e., 946 cases out of total 1,357 cases, which were 69.7% of the total. 3. As the number of missing teeth increased, the number of the relevant cases of fixed bridges decreased. 4. The most frequent age group of the patients who had been treated with fixed bridges was the twenties, which was 40.8% of the total. As the age of the patients increased, the number of corresponding cases of fixed bridges decreased. 5. Most of the fixed bridges with more than three pontics were made at the anterior portion samely on the maxilla and on the mandible. 6. As for the retainers, the porcelain fused to metal crown and the partial veneer crown were frequently used at the anterior portion, while the full veneer crown was frequently used and the inlay and the attachment were used in some cases at the posterior portion. The locations of fixed bridges in the order of their frequency were: canine, lateral incisor, second bicuspid, central incisor, second molar, first bicuspid, first molar, and third molar on the maxilla; second bicuspid, second molar, first bicuspid, first molar, canine, third molar, lateral incisor, and central incisor on the mandible.

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Correlation analysis of periodontal tissue dimensions in the esthetic zone using a non-invasive digital method

  • Kim, Yun-Jeong;Park, Ji-Man;Cho, Hyun-Jae;Ku, Young
    • Journal of Periodontal and Implant Science
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    • v.51 no.2
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    • pp.88-99
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    • 2021
  • Purpose: Direct intraoral scanning and superimposing methods have recently been applied to measure the dimensions of periodontal tissues. The aim of this study was to analyze various correlations between labial gingival thickness and underlying alveolar bone thickness, as well as clinical parameters among 3 tooth types (central incisors, lateral incisors, and canines) using a digital method. Methods: In 20 periodontally healthy subjects, cone-beam computed tomography images and intraoral scanned files were obtained. Measurements of labial alveolar bone and gingival thickness at the central incisors, lateral incisors, and canines were performed at points 0-5 mm from the alveolar crest on the superimposed images. Clinical parameters including the crown width/crown length ratio, keratinized gingival width, gingival scallop, and transparency of the periodontal probe through the gingival sulcus were examined. Results: Gingival thickness at the alveolar crest level was positively correlated with the thickness of the alveolar bone plate (P<0.05). The central incisors revealed a strong correlation between labial alveolar bone thickness at 1 and 2 mm, respectively, inferior to the alveolar crest and the thickness of the gingiva at the alveolar crest line (G0), whereas G0 and labial bone thickness at every level were positively correlated in the lateral incisors and canines. No significant correlations were found between clinical parameters and hard or soft tissue thickness. Conclusions: Gingival thickness at the alveolar crest level revealed a positive correlation with labial alveolar bone thickness, although this correlation at identical depth levels was not significant. Gingival thickness, at or under the alveolar crest level, was not associated with the clinical parameters of the gingival features, such as the crown form, gingival scallop, or keratinized gingival width.

Comparative analysis of forest fire danger rating on the forest characteristics of thinning area and non-thinning area on forest fire burnt area (산불피해지역에서 숲 가꾸기 실행유무가 산불에 미치는 영향)

  • Lee, Si-Young;Lee, Myung-Woog;Yeom, Chan-Ho;Kwon, Chun-Geun
    • 한국방재학회:학술대회논문집
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    • 2008.02a
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    • pp.153-156
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    • 2008
  • Comparative analysis of forest fire danger rating on the forest characteristics of thinning area and non-thinning area on forest fire burnt area was studied in this work. To investigate the effect of thinning slash in forest fire, Gangneung-si Wangsan-myeon, Ulgin-gun Wonnam-Myeon, Samchok-si Gagok-Myeon, in which forest fire broke out, were selected. As a result that investigated forest fire danger ratio between thinning slash and non-thinning slash, leeward scorching ratio(36%), crown damage ratio(29%), mortality of branch at the former are higher than those at the latter, leeward scorching ratio of tree, where thinning slash is around, is 10%-20% higher than that of independent tree. So I estimate that thinning slash has a some effect on the intensity of forest fire. And the result to investigate damage of forest fire according to tree species shows that leeward scorching ratio of conifer is 5% higher than that of non-conifer, and mortality of branch of the former is 19% higher than that of the latter. It is considered that forest fire may affect directly to a tree trunk if it diffuse to piled thinning tree because there was no space between thinning trees and trees. Furthermore, it was found that re-ignition had a chance to occur due to lots of piled thinning trees.

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Vertical Augmentation of Maxillary Posterior Alveolar Ridge Using Allogenic Block Bone Graft and Simultaneous Maxillary Sinus Graft

  • Lee, Eun-Young;Kim, Eun-Suk;Kim, Kyoung-Won
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.36 no.5
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    • pp.224-229
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    • 2014
  • The maxillary posterior area is the most challenging site for the dental implant. Although the sinus graft is a predictable and successful technique for rehabilitation of atrophic and pneumatized posterior maxilla, when there is severe destruction of alveolar bone, a very long crown length remains challenging after successful dental implants installation with sinus graft. We performed vertical augmentation of the maxillary posterior alveolar ridge using the allogenic block bone graft with a simultaneous sinus graft using allogenic and heterogenic bone chips. After about six months, we installed the dental implant. After this procedure, we achieved a more favorable crown-implant fixture ratio and better results clinically and biomechanically. This is a preliminary report of vertical augmentation of maxillary posterior alveolar ridge using allogenic block bone graft and simultaneous maxillary sinus graft. Further research requires longer observation and more patients.

Computer Simulation of Branching Pattern in Magnolia denudata Desr. (백목련의 분지형에 관한 Computer Simulation)

  • Park, Bong-Kyu
    • The Korean Journal of Ecology
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    • v.6 no.4
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    • pp.1-9
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    • 1983
  • The observation of branching pattern on Magnolia denudata Desr. was performed from July 1982 to September 1983 and then computer simulation was carried out. Tree crown pattern depends on not genetic factors but also environmental factors and the determination of branchin pattern which characterized it appears to properly explain the relationships such as branching pattern and allocation of materials through the analysis of influence branches under several assumptions. Now that computer simulated simulated pattern was considered as the accumulation of two factors which controled the growth, it was represented as the stimulated tree which differs in branching rate that described allocation of material necessary for the growth of each branch. There was a tendency of allocation ratio of nutrients, i.e. subbranch to main branch to decrease by the passage of year. Under assumption that branch was branched when accumulated material reached 1, it was possible to represent the allocation of nutrients are residual $nutrient{\times}\frac{1}{1+F};in main; branch, ; residual; nutrient{\times}\frac{F}{1+F}$ in subbranch, A(iA, iC)+$F^(iA-1)$ in current twig. Like this, the basic minute difference of the allocation of nutrients according to the branch resulted in complicated patterns in the tree crown.

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SINUS GRAFT AND VERTICAL AUGMENTATION OF MAXILLARY POSTERIOR ALVEOLAR RIDGE USING MANDIBULAR RAMAL BLOCK BONE GRAFT (상악동 골이식술과 하악지 자가골 블록을 이용한 상악 구치부 치조제 수직증강술)

  • Kim, Kyoung-Won;Lee, Eun-Young
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.32 no.3
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    • pp.276-281
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    • 2010
  • The maxillary posterior area is the most challenging site for the dental implant. After missing of teeth on maxillary posterior area due to periodontal problems, the remaining alveolar ridge is usually very thin because of not only pneumatization of maxillary sinus but also destruction of alveolar bone. The maxillary sinus bone graft procedure is one of the most predictable and successful treatments for the rehabilitation of atrophic and pneumatized endentulous posterior maxilla. But, in case of severe destruction of alveolar bone due to periodontal problems, very long crown length is still remaining problem after successful sinus graft procedures. We performed vertical augmentation of maxillary posterior alveolar ridge using mandibular ramal block bone graft with simultaneous sinus graft. After this procedures, we could get more favorable crown-implant ratio of final prosthodontic appliance and more satisfactory results on biomechanics. This is a preliminary report of the vertical augmentation of maxillary posterior alveolar ridge using mandibular ramal block bone graft with simultaneous sinus graft, so requires more long-term follow up and further studies.

COMPLICATIONS OF THE IMPLANT-SUPPORTED POSTERIOR MANDIBULAR SINGLE RESTORATIONS WITH MESIAL CANTILEVER (하악구치 임플란트 지지 단일수복에서 근심 캔틸레버가 임플란트 합병증에 미치는 영향)

  • Shin, He-Sung;Kim, Myung-Rae;Kim, Sun-Jong
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.35 no.4
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    • pp.248-252
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    • 2009
  • Purpose: This retrospective study was performed to analyze the relationship between complications of the posterior mandibular single crowns and distance from the adjacent teeth to the implant. Subjects and Methods: Of the patients who presented Ewha Womans University Mokdong Hospital & Yonsei University Dental Hospital with missing of the posterior mandibular molar and restored with implant-supported 18 Single crowns between 1996 thru 2007, 115 patients had been followed after crown delivery. The subjects were divided into complication-followed group and a control without any problems. The distance from the most distal tooth to the implant were measured. The prosthetic & biologic complications were reviewed by the cantilever distance and analyzed by abutment type, age & gender statistically using SAS version 9.1 (SAS Inc., USA). Results and Conclusion The results were as follows; 1) The posterior mandibular single crown with cantilever showed higher incidence of follow-up complications upon logistic analysis (p<0.05). 2) The prosthetic and biologic complications are related with the cantilever distance with 2.1 odds ratio and 3.39 cut-off value of specificity & sensitivity by SPSS 12.0. 3) The complications are neither significant in abutment types nor age & gender.

An NMR Study on Complexation of Ortho-Xylyl-17-Crown-5 with $^{7}Li\;and\;^{23}Na$ Ions in Acetonitrile

  • 윤신영;안상두;이조웅
    • Bulletin of the Korean Chemical Society
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    • v.16 no.3
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    • pp.265-269
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    • 1995
  • Complexation of ortho-xylyl-17-crown-5 (X17C5) with alkali metal ions in acetonitrile was studied by 7Li and 23Na NMR spectroscopy. The complex formation constants of X17C5 with LiI, LiSCN, NaI, and NaSCN were determined by investigating the changes in the chemical shifts as a function of the concentration ratio of X17C5 to metal ion. It was found that X17C5 forms 1:1 complex with Li+ and Na+ ions and the log Kf's for the complexation with LiI, LiSCN, NaI, and NaSCN were determined to be 2.88, 2.43, 2.53, and 2.30, respectively. In particular, the kinetics of complexation of X17C5 with Na+ was investigated by the method of 23Na NMR lineshape analysis. Activation energies were determined from Arrhenius plot of the resultant rate constant data to be 25.4 kJ/mol for NaI and 15.1 kJ/mol for NaSCN. Other kinetic parameters were also calculated by employing the Eyring equation. The decomplexation rates measured were 1.82 × 104 M-1s-1 for NaI and 1.50 × 104 M-1s-1 for NaSCN. It is concluded that the decomplexation mechanism is predominantly a bimolecular cation exchange for both cases.

Revisiting the measurement of keratinized gingiva: a cross-sectional study comparing an intraoral scanner with clinical parameters

  • Ahmet Mert Nalbantoglu;Deniz Yanik
    • Journal of Periodontal and Implant Science
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    • v.53 no.5
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    • pp.362-375
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    • 2023
  • Purpose: The aim of this study was to investigate the relationships between gingival thickness (GT) and keratinized gingiva width (KGW), papilla height (PH), and crown ratio (CR) by employing transgingival probing and an intraoral scanner (IOS). Methods: This cross-sectional study examined 360 maxillary anterior teeth from 60 patients. GT was assessed using transgingival probing with an endodontic spreader. KGW, CR, and PH were measured using an IOS. One-way analysis of variance, the Student's t-test, and Spearman correlation coefficients were employed for statistical analysis. Results: Higher GT was significantly associated with thinner KGW in the central region (P=0.019). There was no statistically significant difference in GT between teeth (P=0.06). PH was lower in lateral teeth than in canines (P=0.047), with a PH of 2.99 mm in lateral teeth. The KGW was narrower in canines than in central teeth (P=0.007). A moderate correlation was observed between KGW and PH in the central region (P=0.01), while a weak negative correlation was found between KGW and CR (P=0.043). Conclusions: A moderate negative correlation was found between GT and KGW, as well as between PH and KGW in central teeth. In contrast, a weak negative correlation existed between CR and KGW. The PH (2.99 mm) was lower in lateral teeth than in canines. The traditional paradigm, which suggests a positive correlation between KGW and GT, was reevaluated by measuring KGW using an IOS.